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6 month labs are back and some values are low



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Hey just wanted to chime in here (lab rat going on 25 years this next year).....look on your CBC (cell blood count).....the MCV (Mean Cell Volume) is a better indicator of Iron stores. When your Iron stores get low your body starts producing SMALLER red cells. Your MCV should be 76-100. When you see it less than 75 you have tiny (microcytic) cells. This is due to low iron. You can look up "iron deficient anemia" to see symptoms. Your ferritin is directly linked to your low iron.

Your body only makes new red cells around every 120 days.....so you have to take iron for MONTHS to get your stores back up (hard to explain this to people...they take iron for one week and wonder why they don't feel better - it takes MONTHS)

Prealbumin is also directly related to diet. Malnourished SEVERE is less than 8. Mild is 12-15. Moderate is 8-10. So yours at 17 is fine. Yes it is on the lower side but I think if someone did a study the general population of sleevers normal is prob alot lower than the population of people who are eating alot more.

Also....serum iron of 42 is wonderful especially for females. I run them all day long and most females run in the 30's. Make sure you don't take iron the night before or the morning of your lab tests and are measuring what is really in your bloodstream and not what you just ate ;).

Parathyroid is on a NEGATIVE feedback loop with Calcium. Calcium goes up parathyroid goes down. Calcium goes down parathyroid goes up.

Normal parathyroid is 10-60.

My doc has me on:

Bariatric Advantage Vitamins....Folic Acid 800 mcg, iron 18 mcg - plus alot of the B Vitamins

Plus B complex Vitamin which has more folic acid, Biotin (yea helps with loosing hair) more vit B 12 and more b vitamins

Plus chewable iron 29 mcg a day

B12 sublingual 1000 twice a week

so far my labs look great. good luck. No worries ;) your labs are ok.

I LEARNED so much reading your post! Thanks for sharing your knowledge. Good stuff! :)

Amanda

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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      Officially here for a long time, not just a good time💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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